G07
G07: Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere
Billable / specific codeICD-10-CM
G07 is a billable, specific ICD-10-CM code for intracranial and intraspinal abscess and granuloma in diseases classified elsewhere. It is valid for submission on a claim.
Check G07 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Code first
The underlying condition must be sequenced before this code.
- underlying disease, such as:
- schistosomiasis granuloma of brain (B65.-)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
G07 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56396Billing and Coding: Lumbar Spinal Fusion
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57206Billing and Coding: Lumbar MRI
Code history
Unchanged in every release from FY2024 to FY2027.